Blog Posts

Congress has begun its Affordable Care Act (ACA) repeal effort and evolving replacement options are receiving considerable attention. NASHP is tracking issues that appear in multiple proposals and will provide state perspectives, including: How might they impact states? What might they cost? Have they been tried before in states and what did we learn from […]

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  • Implementing the Medicaid Managed Care Rule: A View from One State

    By: Guest Blogger, Cheryl Roberts, Deputy Director of the Virginia Department of Medical Assistance Services and NASHP Academy Member During the 2016 NASHP Annual State Health Policy Conference, I gave my thoughts on 15 things that made me say, “Hmm” about the CMS Managed Care Regulations, aka The Mega Regs. I could note 40 but […]

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    January 9, 2017 | Filed under: 2016 Conference, Blog Posts, Medicaid, Regulation, Virginia

  • State Health Policy Blog

    21st Century Cures Act: Implications and Opportunities for States

    The 21st Century Cures Act (“Cures”), signed into law on December 13, 2016, is being heralded as landmark legislation for biomedical innovation. Cures funds new research, streamlines the development of new drugs, and supports the interoperability of health information systems. State policymakers, however, may want to focus their attention on Cures’ myriad behavioral health provisions, […]

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  • State Health Policy Blog

    Moving the Needle on Health Outcomes: State Strategies for Advancing Health Equity

    Stark health disparities make it difficult to move the needle on health outcomes and costs and reflect the fact that states face a variety of political and resource constraints when it comes to implementing health equity initiatives. Minority groups disproportionately bear the burden of disease. The CDC reports that when compared with white adults, African […]

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  • State Health Policy Blog

    Coverage of Maternal, Infant and Early Childhood Home Visiting Services

    Research has shown that a quality home visit by a nurse, social worker, early childhood educator or other trained personnel during pregnancy and early parenting can improve the lives of families and their children both at an early age and well into adolescence and early adulthood. The Centers for Medicare and Medicaid Services (CMS) and […]

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  • State Health Policy Blog

    As Federal Leaders Debate, Open Enrollment is in Full Swing

    Post-election, federal leaders are debating changes to the ACA (Affordable Care Act) and whether it will continue in light of the goals put forth by the incoming Administration. Meanwhile, open enrollment for the health insurance marketplaces is in full swing, with some states reporting increased or record enrollment figures during these first weeks of enrollment […]

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  • State Health Policy Blog

    What a Difference a Day Makes…

    Tomorrow it will all be over, this long, costly, bitter, and divisive election will be behind us and we will know who America has chosen as our President, who has been elected to Congress, and a host of other important electoral outcomes. While this election has too often highlighted the differences within our country, a […]

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    November 7, 2016 | Filed under: Blog Posts, Front Page, State Health Policy Blog

  • State Health Policy Blog

    How Health System Transformation Efforts are Improving Access to Care for Children and Youth

    States are rapidly undertaking major reforms within their health care delivery systems. Though not often specifically targeting children and youth, these reforms offer opportunities to positively impact how this population accesses care. In a recent NASHP webinar several states described how their health system transformation efforts are doing so. Massachusetts State Innovation Model Grant: Massachusetts […]

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  • Publications

    Medicaid Incentives for Effective Contraceptive Use and Postpartum Care

    Unplanned and complex births carry potentially avoidable health complications and costs to families and states. Broad healthcare payment and delivery reform is underway across the country to improve outcomes, enhance patient experience and reduce costs. Some states are capitalizing on these reforms to promote planned and healthy births by driving improvement in effective contraceptive use […]

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  • State Health Policy Blog

    NEXT STEPS FOR APCDs: US Department of Labor (DOL) Rulemaking

    Comments submitted to the DOL The Gobeille v. Liberty Mutual Insurance Co. decision dealt a blow to state APCDs by denying state all payer claims databases (APCD) the ability to require data submission from self-funded group health plans. Nationally about 63 percent of all workers with employer-based health insurance are in self-funded plans and that […]

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    October 4, 2016 | Filed under: Blog Posts, Front Page, State Health Policy Blog